Value as the key concept in the health care system: how it has influenced medical practice and clinical decision-making processes

Marzorati, Chiara; Pravettoni, Gabriella

doi:10.2147/jmdh.s122383

Cited by 91 publications

(99 citation statements)

References 39 publications

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“…A diagnostic code on a medical claim is no proof for the presence of disease, because diagnoses might be incorrectly coded or included as a rule-out criterion rather than as an actual disease. All reviewed health-economic studies only accounted for direct health care costs, disregarding patient values, 75 and out-of-pocket costs. 71 A follow-up duration ranging from 6 months 64 to 5 years 66 is not representative of the life course of hypertension.…”

Section: Evidence Supporting Spcsmentioning

confidence: 99%

Starting Antihypertensive Drug Treatment With Combination Therapy

Zhang

Asayama

et al. 2021

Hypertension

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Section: Evidence Supporting Spcsmentioning

confidence: 99%

Starting Antihypertensive Drug Treatment With Combination Therapy

Zhang

Asayama

et al. 2021

Hypertension

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“…The implementation of a new healthcare system based on value would help set up predictive and individualized care pathways for each cancer diagnosis. The patient would be followed along the care process collecting psychological, medical outcomes and economical outcomes in order to implement predictive model of care [52–54].…”

Section: Discussionmentioning

confidence: 99%

Predicting trajectories of recovery in prostate cancer patients undergone Robot-Assisted Radical Prostatectomy (RARP)

et al. 2019

Self Cite

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Objective To identify trends of patients’ urinary and sexual dysfunctions from a clinical and psychological perspective and understand whether sociodemographic and medical predictors could differentiate among patients following different one-year longitudinal trajectories. Methods An Italian sample of 478 prostate cancer patients undergone Robot-Assisted Radical Prostatectomy completed the EPIC-26 survey between July 2015 and July 2016 at the pre-hospitalization (T0), 45 days (T1) and 3 (T2), 6 (T3), 9 (T4), and 12 months (T5) after surgery. Sociodemographic and clinical characteristics (age, BMI, diabetes, nerve-sparing procedure) were also collected. Latent Class Growth Analysis was conducted separately for sexual dysfunction and urinary incontinence EPIC-26 subscales. The association between membership in the two longitudinal trajectories of urinary and sexual dysfunctions was assessed by considering Chi-square test and its related contingency table. Results People who have a high level of urinary incontinence at T1 are likely to have a worse recovery. Age, BMI and pre-surgical continence may affect the level of incontinence at T1 and the recovery trajectories. Patients with low and moderate sexual problems at T1 can face a moderate linear recovery, while people with high level of impotence immediately after surgery may take a longer period to solve sexual dysfunctions. Age and the pre-surgical sexual condition may impact the recovery. Finally, a great proportion of patients reported both steady problems in sexual function and constant high levels of urinary incontinence over time. Conclusions This study highlights different categories of patients at risk who may be important to know in order to develop personalized medical pathways and predictive models in a value-based healthcare.

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“…Nevertheless, for such transformation to work, the mindsets and culture among providers must change (Becker’s Hospital Review, 2016; Nilsson et al, 2017). Likewise, patients must change their expectations of care processes and standards and be more empowered and pro-active in their pursuit for better health (Lateef, 2018; Marzorati & Pravettoni, 2017). One potential barrier could be the lack of common understanding of what value-based care entails, including the financial risks for providers (American Academy of Family Physicians [AAFP], 2017; Pendleton, 2018).…”

Section: Introductionmentioning

confidence: 99%

Health$en$e^TM: Developing a Board Game on Value-based Healthcare Financing

Tan¹,

Yap²,

Yun³

et al. 2019

Simulation & Gaming

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Background. With rising healthcare costs, there is a need to transform healthcare financing to provide better care value and sustainability. Healthcare providers and consumers need to be educated about value-based care and financing. This can be done through games. Intervention & Methods. We describe the design of our board game Health$en$eTM which aims to let players simulate the role of funding patients’ care as the patients move across the care value chain. In the game, players will learn how certain care funding innovations help to optimize healthcare expenditure for better value. Discussion & Conclusion. We envisage that some game elements of Health$en$eTM may motivate players to transform healthcare financing systems in the real world. We formulate a matrix to predict the possible associations between game elements and psychological core drives relevant to Health$en$eTM. Further analysis of the game’s potential impact and validation of the matrix could be conducted in due course after the game is launched in a workshop.

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Value as the key concept in the health care system: how it has influenced medical practice and clinical decision-making processes

Cited by 91 publications

References 39 publications

Starting Antihypertensive Drug Treatment With Combination Therapy

Starting Antihypertensive Drug Treatment With Combination Therapy

Predicting trajectories of recovery in prostate cancer patients undergone Robot-Assisted Radical Prostatectomy (RARP)

Health$en$e^TM: Developing a Board Game on Value-based Healthcare Financing

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Value as the key concept in the health care system: how it has influenced medical practice and clinical decision-making processes

Cited by 91 publications

References 39 publications

Starting Antihypertensive Drug Treatment With Combination Therapy

Starting Antihypertensive Drug Treatment With Combination Therapy

Predicting trajectories of recovery in prostate cancer patients undergone Robot-Assisted Radical Prostatectomy (RARP)

Health$en$eTM: Developing a Board Game on Value-based Healthcare Financing

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Product

Resources

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Health$en$e^TM: Developing a Board Game on Value-based Healthcare Financing